Individual
TERESA LYNN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHIROPRACTOR
Contact information
Practice address
1501 PINE LAKE RD, STE #2, LINCOLN, NE 68512-3692
(402) 421-8284
(402) 421-8220
Mailing address
1501 PINE LAKE RD, STE #2, LINCOLN, NE 68512-3692
(402) 421-8284
(402) 421-8220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1203
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09740
BCBS
NE
Enumeration date
08/04/2006
Last updated
08/15/2012
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